| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,060.00 | $4,544.00 | $9,381.00 | |
Cigna
| Professional | $837.17 | $884.82 | $1,060.11 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $558.37 | $6,366.50 | $26,542.00 | |
Lucent Health
| Professional | $3,126.00 | $3,126.00 | $3,126.00 | |
Providence
| Facility | $273.67 | $342.00 | $476.55 |